- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,904.51 / $54,954.09
| Facility | | $20,892.96 | $38,904.51 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $31,622.78 / $52,480.75
| Facility | | $21,379.62 | $31,622.78 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $42,657.95 / $58,884.37
| Facility | | $20,892.96 | $42,657.95 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $32,359.37 / $64,565.42
| Facility | | $5,248.07 | $32,359.37 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $30,902.95 / $64,565.42
| Facility | | $5,248.07 | $30,902.95 | $64,565.42 |